Become a Kiwanis Member

Have you been looking to do some volunteering for good causes in your community? Do you like helping kids, having fun, and feeling like you made a difference? Why not consider joining us and become a member of one of our Kiwanis clubs?

Kiwanis Membership

Which club would you like to join?(Required)

BanningEl CentroGreater Coachella ValleyHemet ValleyLGBT+ Club of Southern CaliforniaMorongo BasinPalm SpringsTwentynine Palms

Please select a club from the drop-down menu and your application will be forwarded to the club president.

Email(Required)

Name(Required)

First Last

Gender(Required)

Male

Female

Non-binary

Other

Date of Birth(Required)

MonthMonth123456789101112

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YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Spouse/Partner Name

Address(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Phone(Required)

Are you joining as a(n):(Required)

Individual Member

Corporate Member

If joining as a Corporate member, what is the company name? If joining as an individual member, please skip this question.

Please initial and date.(Required)

By providing my email address, I recognize that I am opting to receive regular communication from Kiwanis International.

Committee Preference (check any that you are interested in):

Service - Arranges community service projects, publicizes them to the group & encourages other members to take a leadership role in planning the events they would like to see happen

Membership - Organizes membership events and handles members/membership needs/concerns. Shares our group with other charity organizations that might need our help and work with other committees to provide publicity for our public events

Fundraising - Arranges fundraisers for charitable donations and administrative funds. Also plans and executes a signature fundraising event to support our goals

Social - Plan the social gatherings and handles social aspects of other events (like a membership night or service project)

Select All

Are you a current/former Kiwanian?(Required)

Yes

No

Are you a former K-Kids, Builders Club, Key Club or CKI member?(Required)

Yes

No

Signature(Required)

I accept this application for membership and agree to conform to the bylaws of this club and comply with the obligations of membership.

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